Form ID

Publication date

Location of premises

Certificate

Project #: X25171, Sanitary Sewage Auger Grinder Installation

Date substantially performed:
Date certificate signed:

Participants

Name of Owner
Ontario Realty Corporation acting as agent on behalf of Her Majesty The Queen in right of Ontario as represented by the
Address of Owner
Vice-President Project Management Branch, Ontario Realty Cor
Name of Contractor
HCL Engineering & Construction Ltd.
Address of Contractor
26 Brook Rd., South, Cobourg, ON K9A 4G1
Name of Certifier
Delcan Corporation
Address of Certifier
13 Wynford Dr., Toronto, ON M3C 1K1

Office to which claim for lien must be given to preserve lien

President and Chief Executive Officer, Ontario Realty Corporation, 77 Wellesley Street West, 11th Floor, Ferguson Block, Queens Park, Toronto, ON M7A 2G3